| Diana Peterson, MS, CCC-A | |
|
3099 River Rd S, Ste 120, Salem, OR 97302 | |
| (503) 485-2581 | |
| (503) 485-2564 |
| Full Name | Diana Peterson |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 3099 River Rd S, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366602682 | NPI | - | NPPES |
| 500625779 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 22596 (Oregon) | Primary |
| 237700000X | Hearing Instrument Specialist | HAS-P-1002783 (Oregon) | Secondary |
| Provider Name | Kaiser Foundation Health Plan of the Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Provider Name | Willamette Ear Nose & Throat LLP |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184821043 PECOS PAC ID: 5597737643 Enrollment ID: O20040809001365 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Peterson, MS, CCC-A 3099 River Rd S, Ste 120, Salem, OR 97302-9754 Ph: (503) 485-2581 | Diana Peterson, MS, CCC-A 3099 River Rd S, Ste 120, Salem, OR 97302 Ph: (503) 485-2581 |
Mr. Christopher Scot Frink, M.S. F-AAA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3857 Wolverine Street Ne #16c, Salem, OR 97305 Phone: 503-588-1039 Fax: 503-588-1468 |
Glenda Audrey Smith Fowler, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2611 Pringle Rd Se, Salem, OR 97302 Phone: 503-385-4709 |
Ohrc Salem Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1560 Commercial St Se, Salem, OR 97302 Phone: 360-816-2958 |
Heidi Michelle Sheridan, AU Audiologist Medicare: Medicare Enrolled Practice Location: 1160 Wallace Rd Nw, Salem, OR 97304 Phone: 503-331-3060 |
Nadine Smith Palmateer, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3099 River Rd S, Salem, OR 97302 Phone: 503-485-2581 Fax: 503-485-2564 |
Crystal Miyake, MSCCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3099 River Rd S, Ste 150, Salem, OR 97302 Phone: 503-485-2581 Fax: 503-485-2564 |
Dr. Holli J Christensen, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 340 Vista Ave Se Ste 100, Salem, OR 97302 Phone: 503-877-9966 |